Lee Yang-Chool, Yi Eun-Surk, Choi Won-Ho, Lee Byung-Mun, Cho Sung-Bo, Kim Ji-Youn
Department of Sport Science, College of Art, Gachon University, Seongnam, Korea.
Department of Exercise Rehabilitation & Walfare, College of Science, Gachon University, Incheon, Korea.
J Exerc Rehabil. 2015 Feb 28;11(1):30-5. doi: 10.12965/jer.140159. eCollection 2015 Feb.
The purpose of this study was to design a repeatable universal rehabilitation program in which patients with hemiplegia can participate voluntarily, complementing physical and occupational therapies to increase voluntary exercise practice rate. Also, this study attempted to identify the relationship between psychological resilience due to the implementation of self-bedside exercise and functional recovery of activity of daily living (ADL). 12 patients with hemiplegia voluntarily participated in 8 weeks of self-bedside exercise 5 times a day and more than 5 days a week. Their program implementation, resilience, activities of daily living (MBI), upper limb motor functions (MFT), and balance ability (BBS) were analyzed and compared before and after the program. Compared to before implementing the program, significant increases were found in resilience, MBI, BBS, and MFT in the affected side after the implementation, and the resilience scores showed statistically positive correlation in MBI and MFT. Also, the change in resilience before and after the program implementation showed a statistically positive correlation. Therefore, it can be concluded that the self-bedside exercise developed in this study had a positive effect on voluntary participation in exercise as well as resilience and ADL. However, many studies which complement the psychological aspects of hemiparetic patients with stroke are still needed.
本研究的目的是设计一个可重复的通用康复计划,使偏瘫患者能够自愿参与,作为物理治疗和职业治疗的补充,以提高自主运动练习率。此外,本研究试图确定床边自主运动实施所带来的心理复原力与日常生活活动(ADL)功能恢复之间的关系。12名偏瘫患者自愿参与了为期8周的床边自主运动,每天进行5次,每周5天以上。对他们在该计划实施前后的计划执行情况、复原力、日常生活活动(MBI)、上肢运动功能(MFT)和平衡能力(BBS)进行了分析和比较。与实施该计划前相比,实施后受影响侧的复原力、MBI、BBS和MFT有显著提高,且复原力得分在MBI和MFT中呈统计学正相关。此外,计划实施前后的复原力变化呈统计学正相关。因此,可以得出结论,本研究中开发的床边自主运动对运动的自愿参与以及复原力和ADL有积极影响。然而,仍然需要许多研究来补充中风偏瘫患者的心理方面。